Mountain States Health Alliance

NPI #1972771236 in Lebanon, Virginia

Provider Information

NPI Number: 1972771236
Entity Type: Organization
Organization Name: Mountain States Health Alliance
Primary Specialty: Anesthesiology
Enumeration Date: Feb 20, 2008
Last Updated: Mar 4, 2008

Practice Location

Address: 58 CARROLL STREET
City: Lebanon
State: Virginia
ZIP Code: 24266
Phone: (276) 883-8471

Authorized Official

Name: C STEVEN KILGORE VI
Title: PRESIDENT
Phone: (423) 915-5185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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Provider Name	Specialty	City
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